IndividualActive
Cody Miller, DMD
NPI 1053936914 · General Practice Dentistry · Indian Land, SC
Provider details
- NPI number
- 1053936914
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9642 (SC)
Specialties & taxonomies
Dental Providers
Practice location
7748 Charlotte Hwy
Indian Land, SC 29707-9654
Phone: (803) 674-8043
Approximate (ZIP-level) locationGet directions
Mailing address
7748 Charlotte Hwy
Indian Land, SC 29707-9654
Registry dates
- Enumerated
- 2020-06-16
- Last updated
- 2020-06-24
- Certified
- 2020-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.